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Organization

MERIDIAN ADVANCED PSYCHIATRY , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN HULSEY (CEO)
(208) 789-0202
Entity
Organization

Contact information

Practice address
1672 S WOODSAGE AVE., MERIDAN, ID 83642
(208) 515-2273
(208) 515-2274
Mailing address
1672 S WOODSAGE AVENUE, SUITE #120, MERIDAN, ID 83642
(208) 515-2273
(208) 515-2274

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
11/25/2019
Last updated
05/12/2020
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